A thorough examination should include complete medical history as well as information about past surgeries, exposures to tobacco, alcohol, environmental toxins, any sexually transmitted diseases, menstrual analysis, any past pregnancies, a thorough review of all organ systems, and any other relevant information. In addition, an equally thorough history of the patient’s partner is vital to an accurate evaluation. The patient should then undergo a thorough physical exam to help investigate and find a treatment for infertility. Many times, a transvaginal ultrasound will be performed at the time of the initial examination to evaluate the uterus, tubes, and ovaries. During the transvaginal ultrasound, a follicle count of the ovary will be performed, which is a marker of one’s ovarian reserve. Only through an extensive evaluation of a patient’s history and a thorough physical examination can an appropriate and directed treatment plan be selected and implemented.
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